Jett Scott Andrick, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

TN4768 Issued in TN

Practice address

2620 Mineral Springs Ave Suite B
Knoxville, TN 37917

Phone

(865) 688-4442

Fax

(865) 688-4503

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1043394570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 MINERAL SPRINGS AVE SUITE B",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37917",
            "telephone_number": "865-688-4442",
            "fax_number": "865-688-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 MINERAL SPRINGS AVE SUITE B",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37917",
            "telephone_number": "865-688-4442",
            "fax_number": "865-688-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRICK",
        "first_name": "JETT",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "TN4768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Cecilia Andrews, DMD
• Melinda Irene Andrews
• Reid Michael Andrews, MD
• Riley Nelson Andrews, MD
• Tracey Jeanette Andrews, RN
• Jay Mikhael Andross, FNP
• Maria L Anello, D.O.
• Anesthesia Associates of Knoxville, LLC
• Anesthesia Consultants of Knoxville, PC
• Anesthesia Group of Knoxville PLLC

• All providers in Knoxville, TN
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.